Premium List
Kathryn McIntyre, Secretary
20 E. Russet Way
60067-3451
Palatine, IL 60067-
Northwest Obedience Club, Inc.
(Licensed by the American Kennel Club)
Friday - Sunday, May 1 – 3, 2015 (STD and JWW)
Event # 2015008301 #2015008302 & #2015008303 Respectively
at
McCook Athletic & Exposition Center
4750 Vernon Avenue
McCook, IL 60525
www.mccook.com
(GPS Coordinate—N41.804214, W87.84624)
(Indoors on fake grass, 2 Rings size: 90’ x 90’)
This Event is Accepting Entries for Mixed Breeds Listed in the
AKC Canine Partners Program SM
Entries Method — First Received
Entries Open on Thursday, March 5, 2015 at 7:00 a.m.
at the Trial Secretary’s address.
Closing Date Thursday, April 9, 2015 at 5:00 p.m.
after which time entries cannot be accepted, canceled, altered or substituted except
as provided for in Chapter 11, Section 6 of the Dog Show Rules or
Chapter 1 Section 21 of the Regulation for Agility Trials.
Envelopes/transactions containing entries for more than the ten (10) dog maximum and/
or entries received prior to the opening date and time shall be treated as an invalid entry
and shall be returned to sender.
Trial Hours: Friday - Sunday - From 7:00am to 6:30pm
Entry Limits: 330 Standard runs and 330 JWW runs per day
Judges: Karl O Johnson
Christie Bowers
American Kennel Club Certification
Permission has been granted by the American Kennel Club for the holding of this event
under American Kennel Club rules and regulations.
James P. Crowley, Secretary
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Northwest Obedience Club Officers
President ------------------------------------------------------------------------ Patti Burgess
Vice-President ----------------------------------------------------------------- Ed Barys
Treasurer ------------------------------------------------------------------------ Jim Doescher
Secretary ------------ 857 Halifax Ct., Schaumburg, IL 60193----------- Amber Perri
Board of Directors
Charisse Bruno — Chairman
1169 Devonshire Road
Buffalo Grove, IL 60089-1123
847/634-1269
[email protected]
Event Committee
Kathryn McIntyre — Secretary
20 East Russet Way
Palatine, IL 60067-3451
847/358-9363
[email protected]
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Worker Sign Up Sheets
Because of the First Received, we will be unable to reserve any spaces for workers but if you would like to volunteer , fill out the form and return it with your entry. Mark
WORKER on the outside of your envelope. Please note that
returning this form will not guarantee entry into the trial. You
can also sign up at www.mysignup.com/noci2015. Job notifications will be made by the Chief Ring Steward as soon as possible. Morning refreshments and lunch will be provided for
workers.
Tracy Kent Kevin Kent Cheryl Moore Ken Smith and any other club members present
Trial Judges, Assignments, & Classes Offered
Friday Std. All Classes
Saturday JWW All Classes
Sunday Std. All Classes
Karl O. Johnson (#53112)
1968 95th Ave. Se
Saint Cloud, MN 56304-9758
[email protected]
Friday JWW All Classes
Saturday Std. All Classes
Sunday JWW All Classes
Christie Bowers (#64762)
PO Box 320
South Prairie, WA 98385-0320
[email protected]
Note: All Classes refer to Novice A & B, Novice Preferred, Open, Open Preferred,
Excellent & Masters, & Excellent Preferred & Masters Preferred
Veterinarian On Call
VCA Berwyn Animal Hospital,
2845 South Harlem Avenue, Berwyn, IL 60402
708/749-4200
Exhibitors should follow their veterinarian’s recommendations to assure their dogs are free of
internal and external parasites, any communicable diseases, and have appropriate vaccinations
Emergency Services
Fire/Ambulance/Police 911
Tentative Running order and Classes offered:
Friday
Standard
Saturday & Sunday
Jumpers with Weaves Standard
Jumpers with Weaves
Masters & Masters P Masters & Masters P
Excellent & Excellent P Excellent & Excellent P
Masters & Masters P
Excellent & Excellent P
Masters & Masters P
Excellent & Excellent P
Glory Run
Open & Open P
Novice B, A, P
Open & Open P
Novice B, A, P
Open & Open P
Novice B, A, P
Open & Open P
Novice B, A, P
Judging begins at 8:00am
Please consult the AKC Regulations for Agility Trials for a complete description and eligibility for entry into these classes. The exhibitor is fully responsible for entering the dog in the
correct class(es)/height divisions. Dogs running in a lower height division than they are eligible
for will be eliminated.
This club does not agree to arbitrate claims as set forth on the Official AKC Entry Form for
this event.
Chief Ring Steward: Adrienne Ostrowski
Name _____________________ Phone #: _______________
Email Address: ____________________________________
Day(s) Entered
Friday
Saturday
Sunday
Classes Entered:
Please Circle Class Selection for Standard and JWW and Enter Height For Each
STD & Height
JWW & Height
Novice
Novice
Open
Open
Master/Excellent
Master/Excellent
Special Attraction
Please circle the jobs you would be willing to work and X the
ones you won’t.
Any job without a mark will be listed as Willing to Work.
Timer
Scribe
Gate Steward
Chute Straightener
Floater
Friday Set up
Ring Steward
Score Sheet Runner
Transcriber
Bar Sette
Leash Runner
Course Builder
Sunday Tear down
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3
Directions to McCook Athletic & Exposition Center
From I-294: Exit I-294 at Ogden Avenue East. Continue east on Ogden Avenue for 2.6 miles to
East Avenue. Go RIGHT (south) on East Avenue for 0.8 miles. Go LEFT (east) onto 47th
Street. Go east on 47th Street for 0.8 miles to Vernon. Turn RIGHT (south) onto Vernon to
MAX.
From I-55: Exit I-55 at IL-171 NORTH. Continue north on IL-171 for 1.2 miles. Take the 47th
Street ramp exit and turn LEFT (west) onto 47th Street. Continue on 47th Street for .6 miles to
Vernon. Turn LEFT (south) onto Vernon to MAX.
Height Divisions
Regular (in inches) Preferred (in inches) Height at Withers
Handlers may opt Handlers must run
to run their dog in their dog in their Owners are responsible for entering their dog in the
proper eligible
a higher height
proper height division.
division.
height.
8
4
For dogs 11 inches and under at the withers
12
8
For dogs 14 inches and under at the withers
16
12
For dogs 18 inches and under at the withers
20
16
For dogs 22 inches and under at the withers
24
20
For dogs over 22 inches at the withers
26
n/a
Dogs may be entered at this height at their owner’s
discretion
Measuring and Height Card Information
When filling out the entry form, there is a new section at the top of the form for exhibitors
to designate whether your dog needs to be officially measured. Please check the box so that
the Trial Secretary knows whether to include your dog on the Dogs to be Measured List. It is
no longer required to submit a copy of your dog’s jump height card with your entry form or
show it during the day of show check-in.
Dogs without a valid Jump Height Card/Form may still compete; but they must be measured/wicketted by the Judge of Record PRIOR to running in their class and this measurement
will be valid for that weekend of trials only. The exception to this requirement is a dog entered in the 24” or 26” height division. However if a Volunteer Measuring Official (VMO)
or an Agility Field Rep. is present ALL dogs without a valid Jump Height Card/Form must be
measured at some time during the trial or cluster of trials. This does not preclude having the
dog wicketted by the Judge of Record if the VMO or Rep is not available to measure the dog
before its first run of the trial or cluster of trials. It is the exhibitor’s responsibility to have
their dog measured prior to running and failure to do so will result in the cancellation of qualifying scores.
#1 — McCook Athletic & Expo Site
Hotels That Take Well Behaved Dogs: Exhibitors must contact motels directly and
identify themselves as having dogs. Some require deposits; others take only medium
to small dogs. Please use extreme caution in the treatment of motel space.
Please be responsible hotel guests.
Pick up after your dogs. Do not leave dogs alone in rooms.!
Distance from show site
(in miles)
Motel 6
9625 S 76th Ave., Bridgeview, IL 60455
708-430-1818
13.0
Extended Stay America 15 W 122nd South Frontage Rd. Burr Ridge, IL 60521
630-323-6630
7.0
Red Roof Inn
6.5
Red Roof Inn
7325 Robert Kingery Hghwy.(IL-83), Willowbrook, IL 60521
815/444-0040 ($15 fee charged for having dogs)
1113 Butterfield Rd (IL-56), Downers Grove, IL 60515
(medium to small dogs only) 815/923-4533
Dogs Eligible to Enter
This trial is open to all dogs fifteen (15) months of age or older that are registered with the
American Kennel Club or have AKC Limited Registration, Purebred Alternative Listing/
Indefinite Listing Privileges (PAL/ILP), an AKC Canine Partners listing number, or approved
Foundation Stock Service (FSS) breeds.
Dogs with a Purebred Alternative Listing/Indefinite Listing Privileges (PAL/ILP) or an
AKC Canine Partners listing number must be spayed or neutered in order to compete. Wherever the word “dog” is used in these regulations it includes both sexes.
Dogs should be physically sound. Dogs that are blind or deaf shall not be eligible, and
neither are bitches in season, aggressive dogs, or dogs suffering from any deformity, injury, or
illness which may affect the dog’s physical or mental performance. No dog shall compete if it
is taped or bandaged in any way or has anything attached to it for medical purposes. Refer to
Chapter 2 of the Registration and Discipline Rules for the listing of registerable breeds that
may participate. Puppies under four (4) months of age are strictly prohibited from the trial
grounds.
All exhibitors should obtain a copy of the Regulations for Agility Trials by downloading
them from the American Kennel Club website at http://www.akc.org/rules/.
Obstacles and Ring Conditions
11.0
Obstacles will meet the specifications for obstacles in the current edition of the Regulations
for Agility Trials. All contacts are rubberized and weave poles are 24” spacing.
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Entry Fees Per Day
First entry of each dog (includes $3.50 AKC recording fee) ----------------------------- $26.00
Second entry of same dog (includes $3.00 AKC recording fee) -------------------------- $16.00
Mail all entries with fees (checks or money orders), payable to NOCI, to K. McIntyre, Trial Sec.,
20 E. Russet Way, Palatine, IL 60067.
Entries method is FIRST RECEIVED so no hand-delivered entries will be accepted for the
first 24 hours after opening date and time. No Faxed, phoned or E-mailed entries accepted.
Express entries must waive signature requirement or they will be refused. Envelopes containing
more than the maximum of 10 dogs per envelope, incomplete or illegible forms or forms with no
agreement attached or signed will be considered an invalid entry and will be returned without prior
notification. Entries with checks that are returned for non-sufficient funds will be considered invalid
and $25 fee will be attached. There will be no refunds for overpayments of $10 or less. No entry may
be changed or canceled unless notice of change or cancellation is received in writing by the Trial
Secretary prior to the closing date and time for entries. The secretary cannot be responsible for
correcting errors on forms. Entrants are solely responsible for accuracy of entry forms
If any exhibitor wishes to be notified that they made it into the trial, (s)he must either include a
valid, legible email address on the entry form (preferred) or include a self-addressed, stamped
envelope. If you have spam filters that require senders to validate themselves before email is
forwarded, you will not receive notifications unless you add [email protected] as an
allowed sender. No “Confirmations of Receipt of Entry” will be sent but “Preliminary
Confirmations” will be sent as soon as possible. Checks may be cashed before closing and any
refunds will be sent out by the beginning of the trial.
Move-Ups: Dogs, finishing the requirements for a title, may be moved up to the next higher class at the
request of the owner and in accordance with AKC Agility rules. Pre-trial move-up requests must be made 13
in legible writing or email with all necessary information to the trial secretary no later than 6:00pm. on the
Monday prior to the event. Move-ups for Saturday and Sunday will be accepted the day prior, until the
last ribbons are awarded. Emailed move-ups for the Friday trial MUST contain all the information
on the move-up form. If you do not receive a new “Preliminary Confirmation” from me (please
check it over to make sure I got the move-up right), I did not receive and process your request! I am
not responsible for misdirected emails and cannot make allowances for them! I will be unable to
check my email after 6:00pm on the Thursday before the trial weekend. Refer to Chapter 1, Section 20 of
the Regulations for Agility Trials for additional move-up requirements
AKC AGILITY MOVE-UP FORM
Club: Northwest Obedience Club Date: _________________________
Breed:_____________________________________ Sex: ___________
AKC Registered Name: _______________________________________
AKC Registration Number: ____________________________________
Dog’s Call Name: ___________________________________________
Course Walk-Throughs and Warm-Up Information
Handlers in all classes are permitted to walk the course, without a dog, during a walk-through period
held prior to the start of the class. The walk-through is restricted to handlers entered in that class only.
Handlers with multiple dogs, at events with multiple rings may request to walk with a height group
other than the one their dog is entered in if a conflict is imminent.
A warm-up area, consisting of a regulation agility jump, will be provided for exhibitors. The warm-up
area is to be used exclusively for warming up the dog and not for training or relieving the dog.
Ribbons, Awards and Prizes
Rosettes will be awarded to the first through fourth place in each class and height division. Dogs
earning qualifying scores will receive an appropriate color qualifying ribbon. A dog toy or dog food
item will be awarded to all dogs that place in their respective height and class. A New Title rosette
will be awarded to all dog and handler teams finishing a title. A MACH/PACH rosette and bar will be
awarded to all dog and handler teams that attain their MACH/PACH, — so PLEASE let us know, in
advance, if there is a chance of your team earning a MACH/PACH at our trial (so that we can make
sure we have enough)! A Double Q flat ribbon will be awarded to all dog and handler teams that
attain a qualifying score in both Master STD and Master JWW on the same day. All prizes and awards
must be claimed the day of the trial — none will be shipped.
Notice to Exhibitors
SAFETY, BEHAVIOR and LIABILITY
The safety of the dog is our primary concern. By entering this trial, exhibitors acknowledge that
they are familiar with the rules and regulations of this sport, and that their dogs are familiar with and
able to perform all obstacles safely.
It is expressly understood that exhibitors are responsible for the behavior of their dogs and/or
children. Any exhibitor whose dogs and/or children create an unnecessary disturbance or repeatedly
engage in unsafe or disruptive behavior may, at the discretion of the trial committee, be asked to leave
the show site. In such case, no refund of any fees paid will be made. Northwest Obedience Club, Inc.
and its agents, employees, etc., will assume no responsibilities for any loss, damage or injury sustained
by exhibitors or handlers, or to any of their dogs or property and further assumes no responsibility for
injury to children. Northwest Obedience Club, Inc. reserves the right to decline entries for cause and
may remove any dog on account of aggression. No one shall have any recourse or claim against
Northwest Obedience Club, Inc. or any official thereof. All dogs must be on leash at all times when
on trial grounds except when in the designated warm-up areas or competing on the course. No open
Flexi-leashes will be allowed in the building.
Breed/Variety: ______________________________________________
Move Entry to
Agility Class: (Circle One)
Jump Height Division: (Circle One)
Regular Open
Standard
Exc
Masters
8”
12”
16”
20”
26”
Regular
JWW
Exc
Masters
8”
12”
16”
20”
26”
Preferred OpenP ExcP MastersP
Standard
4”
8”
12”
16”
20”
Preferred OpenP ExcP MastersP
JWW
4”
8”
12”
16”
20”
Open
Owner(s) Name:_____________________________________________
Handler’s Name: ____________________________________________
(If applicable)
Signature of owner or agent
duly authorized to make this entry:
Signature of Trial Secretary
If Approved: _______________________________ Date: __________
Time Received: _____________________________
(06/11)
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SPECIAL ATTRACTION AGREEMENT
I certify that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner
whose name I have entered. In consideration of the acceptance of this entry, I (we) agree to abide by the
rules and regulations of the American Kennel Club in effect at the time of this event, and any additional rules
and regulations appearing in the premiums list of this event and entry form and any decision made in accord
with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the
club shall deem sufficient. I (we) certify and represent that the dog entered is not a hazard to persons or
other dogs. In consideration of the acceptance of this entry and of the this event and of the opportunity to
have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving
club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner
and/or lessor of the premises and any provider of services that are necessary to hold this event and any
employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event,
harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to
any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we)
further agree to hold the aforementioned parties harmless from any claim for loss from any claim for loss,
injury or damage to this dog.
Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the
aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the
liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries,
including death at any time resulting therefrom, sustained by any person or persons, including myself
(ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation
in this event, however such, injuries, death or property damage may be caused, and whether or not the same
may have been caused or may be alleged to have been caused by the negligence of the aforementioned
parties or any of their employees, agents, or any other person. I (we) agree that the determination of whether
the injury is serious shall be made by the event veterinarian and is binding on me (us). I (WE) AGREE
THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC
AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST)
AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTREPRETATION AND
EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO
THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER,
PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND
PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND
BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.
Dogs listed in the AKC Canine PartnersSM program may be eligible to enter this attraction. These dogs
should be listed as All American Dog and must include their AKC number on the entry form and check the
AKC No. box.
SIGNATURE of owner or his agent duly authorized to make this entry.
SIGN HERE X
Come and participate in a Glory Run.
Calling ALL greats — in fact the older retired greats
are the ones that we particularly feel should be seen
again. Each will be individually introduced and run
the course. Please enclose a BRIEF resume of your
dog’s accomplishments — MUST be less than 50
words — along with proof of your dog’s agility titles.
Day: Friday, May 1, 2015
Eligibility: Any AKC registered dog that is not entered into the trial on any day and has an agility
title in any agility registry.
Description:
Any AKC registered dog, with a title in any
agility registry, that is not entered into any day of the
trial can, along with their handler, have a “Glory
Run” with lowered or no bars, open weave poles,
lowered A-frame and teeter.
_____________________________________________________________
Telephone Number: _____________________________________________________________________
Email Address: ________________________________________________________________ □New Email
In Case of Emergency - Name:
SPECIAL ATTRACTION
Award: All teams entered are WINNERS and will
be awarded a rosette labeled “Glory Run” along with
their name and titles.
Phone #:
Please fill out the “Special Attraction” entry form and
take this opportunity to TRULY have a FUN RUN!
5
OFFICIAL SPECIAL ATTRACTIOPN
ENTRY FORM
6
11
Northwest Obedience Club, Inc. of Suburban Chicago
RINGSIDE
Dogs may arrive any time prior to judging if the dog has a valid temporary or permanent
jump height card. Otherwise, they must be available for measuring prior to the start of their
class if a VMO or AKC Field Rep is available to measure dogs. All dogs not needed for further judging will be excused.
Judges are not required to wait for dogs. The Owner of each dog is solely responsible for
having it ready at ringside when it is to be judged. The Club has no responsibility for providing service through a public address system or stewards or runners for the purpose of calling
or locating dogs that are not brought into the ring when required.
May 1, 2015
Friday, May 1, 2015
STD
Opens: March 5, 2015 Closes: April 9, 2015 Entry Fee: $16.00. Make checks payable
to: NOCI; Mail to: Kathryn McIntyre, Trial Secretary, 20 E. Russet Way, Palatine, IL
60067 Checks may be cashed before closing
ENTRY FEE ENCLOSED
IMPORTANT: Carefully read instructions before filling out!
CATALOGS:
Pre-order — $15.00 each. No catalogs will be available for purchase at the site. Running
order sheets will be posted and will be available online, without final move-ups or withdrawals/wait list changes, to download approximately 1 week prior to the trial date. You may print
a copy in advance (if desired) in lieu of copies available during the trial weekend.
REGULAR Classes
0” 4” 8” 12”
16”
Contact Height
20” 24”
VENDORS:
If you would like a vendor space, please contact Charisse Bruno, Agility Trial Chairman at
847-634-1269 or email her at [email protected].
Open Channels
ADDITIONAL SITE INFORMATION
Crating space will be available on a limited basis. The trial site requires a tarp to be
placed on the floor underneath your crates. Crates may be left overnight; however, Northwest
Obedience Club, Inc. will not be responsible for any lost or damaged items left at the show
site.
Overnight parking and RV parking will be allowed at the trial site in designated areas
only.
Exhibitors are responsible for cleaning up after their dog(s) and themselves. Any exhibitor failing to do so may be excused without benefit of refund if the Trial Committee deems the
exhibitor to be in violation of this requirement. Cleaning supplies and disposal sites will be
available at various locations around the show grounds.
Wait List
NOCI is offering a Wait list to fill openings created by withdrawn entries after the trial’s closing date/time. A maximum of 50 entries will be placed on the club’s wait list. All entries,
including wait listed entries, must be received by the Trial Secretary prior to closing, April 9,
2015 at 5:00pm. Any withdrawn entries that are received by 6:00pm, April 27, 2015, will be
replaced by a wait listed entry if any are available. If a withdrawn entry is replaced by a wait
listed entry, a full refund will be issued for the withdrawn entry. If a wait listed person cannot
be found no refund will be given. Any wait listed entry that does not move off the wait list by
6:00pm, April 27, 2015 will be refunded their wait listed portion. If you do NOT wish to be
placed on the wait list, please mark the top of the entry in the appropriate location.
Lower Regulation
A-frame:
Lower
Regulation
Closed
Please enclose a BRIEF resume of your dog’s
accomplishments (less than 50 words) and
proof of titles.
REFUNDS/WITHDRAWALS
No entry fee will be refunded if the trial cannot open or be completed by reason of riots,
civil disturbances, fire, an act of God, public emergency, act of a public enemy, or any other
cause beyond the control of the organizing committee. No entry fee will be refunded in the
event a dog is absent, disqualified, excused or barred from competition by the action of the
Trial Committee.
Bitches in season are not permitted to compete in Agility Trials. The club will refund the
entry fee less $10 per day for bitches, unable to compete for this reason, and injured dogs upon
presentation of a veterinarian certificate on the veterinarian’s letterhead. This certificate must
be presented to the Trial Secretary no later than 1/2 hour prior to the start of judging on the
first day of the trial or cluster of trials.
Teeter:
WEAVES
FOOD:
No food or drink, except for your dog(s), may be brought into the site. Food will be available on site through the concession and nearby restaurants.
(Circle One for Each)
26”
BREED
VARIETY
CALL NAME
SEX
AKC NAME (Include AKC titles only)
[ ] AKC NO.
[ ] ILP
[ ] PAL
(Enter Complete Registration # below)
DATE OF BIRTH
PLACE OF BIRTH (LIST COUNTRY)
[ ] FOREIGN REG. NO. & COUNRY
BREEDER
SIRE
DAM
ACTUAL OWNER
OWNER’S ADDRESS
CITY, STATE, ZIP + 4
HANDLER
applicable
ENTER JR. HANDLER # if
Exhibitor or owner MUST sign on the signature line beneath the instructions
OFFICIAL ENTRY FORM FOR AGILITY TRIALS
Northwest Obedience Club, Inc. of Suburban Chicago
May 1, 2, & 3, 2015
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org.
10
AGREEMENT
I certify that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner
whose name I have entered. In consideration of the acceptance of this entry, I (we) agree to abide by the
rules and regulations of the American Kennel Club in effect at the time of this event, and any additional rules
and regulations appearing in the premiums list of this event and entry form and any decision made in accord
with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the
club shall deem sufficient. I (we) certify and represent that the dog entered is not a hazard to persons or
other dogs. In consideration of the acceptance of this entry and of the this event and of the opportunity to
have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving
club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner
and/or lessor of the premises and any provider of services that are necessary to hold this event and any
employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event,
harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to
any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we)
further agree to hold the aforementioned parties harmless from any claim for loss from any claim for loss,
injury or damage to this dog.
Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the
aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the
liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries,
including death at any time resulting therefrom, sustained by any person or persons, including myself
(ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation
in this event, however such, injuries, death or property damage may be caused, and whether or not the same
may have been caused or may be alleged to have been caused by the negligence of the aforementioned
parties or any of their employees, agents, or any other person. I (we) agree that the determination of whether
the injury is serious shall be made by the event veterinarian and is binding on me (us). I (WE) AGREE
THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC
AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST)
AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTREPRETATION AND
EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO
THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER,
PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND
PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND
BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.
Friday, May 1, 2015
STD
JWW
Saturday, May 2, 2015
STD
JWW
Sunday, May 3, 2015
STD
JWW
DO NOT Waitlist my entry
Opens: March 5, 2015 Closes: April 9, 2015 Daily Entry Fee: 1st run $26.00; $16.00 each additional run. Make
checks payable to: NOCI; Mail to: Kathryn McIntyre, Trial Secretary, 20 E. Russet Way, Palatine, IL 60067
Checks may be cashed before closing
ENTRY FEE ENCLOSED
IMPORTANT: Carefully read instructions before filling out!
Choose Either Regular OR Preferred Classes
Circle one jump height, and circle class selections. Only one selection per class (STD, JWW)
REGULAR Classes
8”
12”
16”
20” 24”
PREFERRED Classes
26”
4”
8”
12”
16” 20”
STD
Nov A Nov B Open Exc Master
STD
Nov P
OpenP ExcP MasterP
JWW
Nov A Nov B Open Exc Master
JWW NovP
OpenP ExcP MasterP
FAST
Not AOffered
NotAOffered
Nov
Nov B Open Exc Master FAST Nov
Nov B Open Exc Master
T2B
Not Offered
T2BP
Not Offered
Non-Regular Classes International
Not Offered Sweepstakes □STD □JWW Select: □14” □18” □26”
This Dog Needs To Be Measured
BREED
Yes
No
Variety
SEX
HEIGHT AT WITHERS
CALL NAME
AKC NAME (Include AKC titles only)
INSTRUCTIONS
Handlers may opt to enter in a higher height division for all Regular titling classes, but not in a division
lower than their proper height division. Dogs entered in the Preferred classes must compete at the required
jump height and may not compete in a jump height division higher or lower than their proper height division.
All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they must be measured by a Judge of record, an Agility Field Representative, or a Volunteer Measuring
Official, prior to running. If measured by the Judge of record, that measurement will be valid for this trial or
back-to-back trials only. If a measurement is necessary, it is the exhibitor's responsibility to have their dog
(s) measured prior to running.
Dogs listed in the AKC Canine PartnersSM program may be eligible to enter all-breed AKC agility trials at
the club’s option. These dogs should be listed as All American Dog and must include their AKC number on
the entry form and check the AKC No. box.
[ ] AKC NO.
[ ] ILP
[ ] PAL
(Enter Complete Registration # below)
DATE OF BIRTH
PLACE OF BIRTH (LIST COUNTRY)
[ ] FOREIGN REG. NO. & COUNRY
BREEDER
SIRE
DAM
Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have
your Junior Handler number, it may be obtained from the American Kennel Club (919) 233-9767. If the
Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship of the
Junior Handler to the Owner?
ACTUAL OWNER
SIGNATURE of owner or his agent duly authorized to make this entry.
OWNER’S ADDRESS
SIGN HERE X
___________________________________________________________
Telephone Number: ___________________________________________________________________
CITY, STATE, ZIP + 4
Email Address: ________________________________________________________________ □New Email
In Case of Emergency - Name:
Phone #: ________________________
AEAGL2 (12/13) v8.4 Edit
7
HANDLER
ENTER JR. HANDLER # if applicable
Exhibitor or owner MUST sign on the signature line beneath the instructions
OFFICIAL ENTRY FORM FOR AGILITY TRIALS
Northwest Obedience Club, Inc. of Suburban Chicago
AKC Rules, Regulations, Policies and Guidelines are available on the American Kennel Club Web site, www.akc.org.
8
May 1, 2, & 3, 2015
AGREEMENT
I certify that I am the actual owner of the dog, or that I am the duly authorized agent of the actual owner
whose name I have entered. In consideration of the acceptance of this entry, I (we) agree to abide by the
rules and regulations of the American Kennel Club in effect at the time of this event, and any additional rules
and regulations appearing in the premiums list of this event and entry form and any decision made in accord
with them. I (we) agree that the club holding this event has the right to refuse this entry for cause which the
club shall deem sufficient. I (we) certify and represent that the dog entered is not a hazard to persons or
other dogs. In consideration of the acceptance of this entry and of the this event and of the opportunity to
have the dog judged and to win prizes, ribbons, or trophies, I (we) agree to hold the AKC, the event-giving
club, their members, directors, governors, officers, agents, superintendents or event secretary and the owner
and/or lessor of the premises and any provider of services that are necessary to hold this event and any
employees or volunteers of the aforementioned parties, and any AKC approved judge, judging at this event,
harmless from any claim for loss or injury which may be alleged to have been caused directly or indirectly to
any person or thing by the act of this dog while in or about the event premises or grounds or near any entrance thereto, and I (we) personally assume all responsibility and liability for any such claim; and I (we)
further agree to hold the aforementioned parties harmless from any claim for loss from any claim for loss,
injury or damage to this dog.
Additionally, I (we) hereby assume the sole responsibility for and agree to indemnify, defend and save the
aforementioned parties harmless from any and all loss and expense (including legal fees) by reason of the
liability imposed by law upon any of the aforementioned parties for damage because of bodily injuries,
including death at any time resulting therefrom, sustained by any person or persons, including myself
(ourselves), or on account of damage to property, arising out of or in consequence of my (our) participation
in this event, however such, injuries, death or property damage may be caused, and whether or not the same
may have been caused or may be alleged to have been caused by the negligence of the aforementioned
parties or any of their employees, agents, or any other person. I (we) agree that the determination of whether
the injury is serious shall be made by the event veterinarian and is binding on me (us). I (WE) AGREE
THAT ANY CAUSE OF ACTION, CONTROVERSY OR CLAIM ARISING OUT OF OR RELATED TO THE ENTRY, EXHIBITION OR ATTENDANCE AT THE EVENT BETWEEN THE AKC
AND THE EVENT-GIVING CLUB (UNLESS OTHERWISE STATED IN ITS PREMIUM LIST)
AND MYSELF (OURSELVES) OR AS TO THE CONSTRUCTION, INTREPRETATION AND
EFFECT OF THIS AGREEMENT SHALL BE SETTLED BY ARBITRATION PURSUANT TO
THE APPLICABLE RULES OF THE AMERICAN ARBITRATION ASSOCIATION. HOWEVER,
PRIOR TO ARBITRATION ALL APPLICABLE AKC BYLAWS, RULES, REGULATIONS AND
PROCEDURES MUST FIRST BE FOLLOWED AS SET FORTH IN THE AKC CHARTER AND
BYLAWS, RULES, REGULATIONS, PUBLISHED POLICIES AND GUIDELINES.
Friday, May 1, 2015
STD
JWW
Saturday, May 2, 2015
STD
JWW
Sunday, May 3, 2015
STD
JWW
DO NOT Waitlist my entry
Opens: March 5, 2015 Closes: April 9, 2015 Daily Entry Fee: 1st run $26.00; $16.00 each additional run. Make
checks payable to: NOCI; Mail to: Kathryn McIntyre, Trial Secretary, 20 E. Russet Way, Palatine, IL 60067
Checks may be cashed before closing
ENTRY FEE ENCLOSED
IMPORTANT: Carefully read instructions before filling out!
Choose Either Regular OR Preferred Classes
Circle one jump height, and circle class selections. Only one selection per class (STD, JWW)
REGULAR Classes
8”
12”
16”
20” 24”
PREFERRED Classes
26”
4”
8”
12”
16” 20”
STD
Nov A Nov B Open Exc Master
STD
Nov P
OpenP ExcP MasterP
JWW
Nov A Nov B Open Exc Master
JWW NovP
OpenP ExcP MasterP
FAST
NotAOffered
Nov
Nov B Open Exc Master
Not AOffered
FAST Nov
Nov B Open Exc Master
T2B
Not Offered
T2BP
Not Offered
Non-Regular Classes International
Not Offered Sweepstakes □STD □JWW Select: □14” □18” □26”
This Dog Needs To Be Measured
BREED
Yes
No
Variety
SEX
HEIGHT AT WITHERS
CALL NAME
AKC NAME (Include AKC titles only)
INSTRUCTIONS
Handlers may opt to enter in a higher height division for all Regular titling classes, but not in a division
lower than their proper height division. Dogs entered in the Preferred classes must compete at the required
jump height and may not compete in a jump height division higher or lower than their proper height division.
All dogs that have not been officially measured for an Agility Jump Height Card may still compete; however, they must be measured by a Judge of record, an Agility Field Representative, or a Volunteer Measuring
Official, prior to running. If measured by the Judge of record, that measurement will be valid for this trial or
back-to-back trials only. If a measurement is necessary, it is the exhibitor's responsibility to have their dog
(s) measured prior to running.
Dogs listed in the AKC Canine PartnersSM program may be eligible to enter all-breed AKC agility trials at
the club’s option. These dogs should be listed as All American Dog and must include their AKC number on
the entry form and check the AKC No. box.
Junior Handlers should enter their Junior Handler number on the front of this form. Should you not have
your Junior Handler number, it may be obtained from the American Kennel Club (919) 233-9767. If the
Junior Handler is not the owner of the dog identified on the face of this form, what is the relationship of the
Junior Handler to the Owner?
[ ] AKC NO.
[ ] ILP
[ ] PAL
(Enter Complete Registration # below)
DATE OF BIRTH
PLACE OF BIRTH (LIST COUNTRY)
[ ] FOREIGN REG. NO. & COUNRY
BREEDER
SIRE
DAM
ACTUAL OWNER
SIGNATURE of owner or his agent duly authorized to make this entry.
SIGN HERE X
OWNER’S ADDRESS
___________________________________________________________
Telephone Number: ___________________________________________________________________
CITY, STATE, ZIP + 4
Email Address: ________________________________________________________________ □New Email
In Case of Emergency - Name:
Phone #: ________________________
9
HANDLER
ENTER JR. HANDLER # if applicable
AEAGL2 (12/13) v8.4 Edit
Exhibitor or owner MUST sign on the signature line beneath the instructions